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KELLY S TAYLOR
NPI 1376374082
Counselor - Professional in Sumner, GA

Active since August 13, 2024PECOS Enrolled
3104 SUMNER RD N, SUMNER, GA 31789(229) 326-3427 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly S Taylor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY S TAYLOR (NPI 1376374082) is an individual professional provider in Sumner, Georgia, licensed in Georgia (LPC014922) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376374082
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY S TAYLOR
Location Address3104 SUMNER RD NSumner, GA 31789-4232
Mailing Address3104 Sumner Rd NSumner, GA 31789-4232 · (229) 326-3427
Phone(229) 326-3427
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 13, 2024
NPPES CertifiedAugust 13, 2024
✔ NPI 1376374082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC014922
3104 SUMNER RD N, Sumner, GA 31789
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly S Taylor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668962085
PECOS Enrollment IDI20251105000947
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Taylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
455 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Taylor's NPI number?

The NPI number for Kelly Taylor is 1376374082. It was assigned to this individual provider in the NPPES registry on August 13, 2024.

Where is Kelly Taylor located?

Kelly Taylor practices at 3104 Sumner Rd N, Sumner, GA 31789. The listed phone number is (229) 326-3427.

What is Kelly Taylor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelly Taylor enrolled in Medicare?

Yes. Kelly Taylor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Taylor reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Taylor accept?

Health plans from Alliant Health Plans, Inc., CareSource and UnitedHealthcare list Kelly Taylor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Taylor was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.